Organization
INNOVATION DENTAL PARTNERS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL PETERSON DMD (OWNER)
(520) 297-2514
Entity
Organization
Contact information
Practice address
1830 E. INNOVATION PARK DR, ORO VALLEY, AZ 85755-1963
(520) 297-2514
(520) 297-4627
Mailing address
1830 E. INNOVATION PARK DR, ORO VALLEY, AZ 85755-1963
(520) 297-2514
(520) 297-4627
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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